Barriers to Human Papillomavirus Vaccine Uptake Among Racial/Ethnic Minorities: a Systematic Review

Amboree, Trisha L.; Darkoh, Charles

doi:10.1007/s40615-020-00877-6

Cited by 42 publications

(30 citation statements)

References 52 publications

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“…Additionally, a recent study found that Black adults reported greater hesitancy to get vaccinated for COVID-19 compared to non-Hispanic Whites [ 13 ]. This is consistent with research showing lower rates of vaccine uptake among racial and ethnic minorities [ 14 , 15 ]. In order to address the continued disproportionate burden of COVID-19 on communities of color, greater attention and appropriate strategies to mitigate barriers to care, such as medical mistrust, are needed.…”

Section: Introductionsupporting

confidence: 91%

Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

Ash

Berkley‐Patton

Christensen

et al. 2021

Translational Behavioral Medicine

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The COVID-19 pandemic has disproportionately impacted communities of color and highlighted longstanding racial health inequities. Communities of color also report higher rates of medical mistrust driven by histories of medical mistreatment and continued experiences of discrimination and systemic racism. Medical mistrust may exacerbate COVID-19 disparities. This study utilizes the Behavior Model for Vulnerable Populations to investigate predictors of medical mistrust during the COVID-19 pandemic among urban youth of color. Minority youth (N = 105) were recruited from community organizations in Kansas City, Missouri to complete an online survey between May and June 2020. Multiple linear regressions were performed to estimate the effect of personal characteristics, family and community resources, and COVID-19 need-based factors on medical mistrust. Results indicated that loneliness, financial insecurity (e.g., job loss, loss of income) due to the COVID-19 pandemic, and eligibility for free or reduced lunch predicted medical mistrust. Insurance status, neighborhood median household income, social support, and perceived COVID-19 risk were not significantly associated with medical mistrust. Future research and policies are necessary to address systemic factors that perpetuate medical mistrust among youth of color.

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Section: Introductionsupporting

confidence: 91%

Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

Ash

Berkley‐Patton

Christensen

et al. 2021

Translational Behavioral Medicine

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show abstract

“…Decision making about vaccine uptake and completion is a multilayered process that involves comparing the perceived benefits of the vaccine against its perceived risks. Among vaccine refusers, reasons commonly included not only lack of trust in the healthcare provider, but also inadequate or inaccurate knowledge about the pros and cons of the vaccine [45] . Indeed, misinformation spread on social media and the internet is a concern as these messages can directly impact HPV vaccine decisions [46] , [47] .…”

Section: Discussionmentioning

confidence: 99%

The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review

et al. 2021

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Despite the clinically proven benefits of the human papillomavirus (HPV) vaccine in preventing cervical and other HPV-associated cancers, vaccination coverage has been suboptimal among adolescents and young adults in the United States (US), particularly among racial and ethnic minority adolescents. Historical legacies, combined with current racial/ethnic disparities in healthcare, may contribute to suboptimal uptake and completion of the HPV vaccine in part through differing levels of trust in doctors and healthcare institutions. The purpose of this narrative review was to characterize trust and its role in decision making about HPV vaccine uptake among US racial and ethnic minorities. We conducted a literature search using the PubMed database, and our search terms yielded 1176 articles. We reviewed 41 full-text articles for eligibility and included 20 articles in this review. These studies used varied measures of trust or mistrust and assessed trust in not only doctors/healthcare providers, but also other sources including pharmaceutical companies, media, and clergy. Our review findings revealed generally high levels of trust in doctors and healthcare providers, but less so in pharmaceutical companies. Mistrust of either healthcare providers, government agencies or pharmaceutical companies was consistently associated with less favorable attitudes and lower vaccine uptake. The downstream effects of mistrust may occur through selected health beliefs regarding the perceived efficacy and safety of the vaccine. Minority groups were more likely to report trust in family members, religious organizations, and media sources compared to their white counterparts. Decision making about vaccine uptake is a multilayered process that involves comparing the perceived benefits of the vaccine against its perceived risks. Understanding how trusted sources can effectively harness the tools of social and traditional media to increase knowledge and awareness may help combat misinformation about the HPV vaccine and improve engagement with diverse communities.

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“…Strategic elements to assist in global vaccination efforts include financial investment on a global level, enhancement of supply, single dose schedules, and effective social marketing [24]. Use of social media platforms to increase awareness of the notion that a vaccine preventable cancer such as cervical cancer may be the wave of the future.…”

Section: Author Detailsmentioning

confidence: 99%

Preventing Human Papilloma Virus through Community Education and Vaccination

Baldwin¹,

Rinke²

2021

Cervical Cancer - A Global Public Health Treatise

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Human Papilloma Virus (HPV) affects many members of the community. To better educate the community in a participatory manner, engaging those outside of the health care arena is necessary. To prevent the spread of the disease in the United States, reaching the parents of children at the vulnerable age of 9–11 years of age is critical. The barriers to education of parents and children around the spread of a sexually transmitted disease are vast and difficult to overcome. However, the use of proven vaccinations give healthcare providers and community advocates the main tool for prevention of the spread of the disease. It is often taboo to discuss anything related to sexual promiscuity or sexual activity in the United States in the public schools. The biggest myth includes the fear parents and grandparents have is that if HPV is talked about, then the child may become sexually active sooner. This myth needs to be challenged with science and reality including taking on the those vehemently opposed to vaccines, known as “Anti-Vaxers” that obstruct vaccine education. The strategies utilized in public health outreach to the community should be reviewed and uniquely developed for each diverse community to overcome the challenges in the prevention of HPV.

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Barriers to Human Papillomavirus Vaccine Uptake Among Racial/Ethnic Minorities: a Systematic Review

Cited by 42 publications

References 52 publications

Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

Predictors of medical mistrust among urban youth of color during the COVID-19 pandemic

The role of trust in HPV vaccine uptake among racial and ethnic minorities in the United States: a narrative review

Preventing Human Papilloma Virus through Community Education and Vaccination

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